Healthcare Provider Details

I. General information

NPI: 1346398187
Provider Name (Legal Business Name): DEBORAH L FISCHER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 01/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2716 OLD ROSEBUD RD SUITE 350
LEXINGTON KY
40509-8008
US

IV. Provider business mailing address

2716 OLD ROSEBUD RD SUITE 350
LEXINGTON KY
40509-8008
US

V. Phone/Fax

Practice location:
  • Phone: 859-543-1577
  • Fax: 859-543-1637
Mailing address:
  • Phone: 859-543-1577
  • Fax: 859-543-1637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number1033354
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5064P
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: